小切口离断性肾盂成形术治疗小儿肾盂输尿管连接部梗阻.doc

小切口离断性肾盂成形术治疗小儿肾盂输尿管连接部梗阻 　　【摘要】 目的：探?小切口离断性肾盂成形术（anderson-hynes）治疗小儿肾盂输尿管连接部梗阻（UPJO）的临床价值。方法：回顾分析笔者所在医院于2011-2015年收治的肾盂输尿管连接部梗阻患儿29例的临床资料。对纳入研究的29例患者行常规B超、静脉肾盂造影（IVP）及IVP后泌尿系增强CT影像学检查，确诊后行小切口离断性肾盂成形术，记录患者的手术时间、术中出血量、术后拔除引流管时间和住院时间。结果：29例均行小切口离断性肾盂成形术，其中肾盂输尿管连接部狭窄25例；肾盂输尿管高位连接3例；纤维索条压迫1例。手术时间60～125 min，平均（88.2±19.6）min，术中出血1～3 ml，平均（2.2±0.8）ml；术后拔除引流管时间为（2.1±0.6）d，平均住院时间（5.8±2.1）d。29例手术患儿术后随访6个月～5年，随访时均行B超检查，部分重度肾积水术后随访IVP，术后肾积水明显改善26例，手术前后积水无明显变化3例。结论：小切口离断性肾盂成形术治疗UPJO临床可行，损伤小，术后恢复快，安全可靠，可作为传统小切口离断性肾盂成形术的一种改进术式，值得推广 【关键词】 肾盂输尿管连接部梗阻； 小切口； 肾盂成形术； 肾盂积水 doi：10.14033/j.cnki.cfmr.2016.30.069 文献标识码 B 文章编号 1674-6805（2016）30-0122-02 Small Incision Anderson-hynes Operation in the Treatment of Ureteropelvic Junction Obstruction/LIU Sheng，DENG Li-cai，WEI Jian-sheng.//Chinese and Foreign Medical Research，2016，14（30）：122-123 【Abstract】 Objective：To investigate the clinical value of small incision anderson-hynes operation in the treatment of ureteropelvic junction obstruction.Method：The clinical data of 29 cases of children with ureteropelvic junction obstruction in our hospital from 2011 to 2015 were retrospectively analyzed.Preoperative routine examination，intravenous pyelography（IVP） and the urinary system enhanced CT after IVP were given to the patients.Small incision anderson-hynes operation was given to the patients after diagnosis.The operation time，intraoperative blood loss，postoperative drainage tube time and hospital stay were recorded.Result：All patients were given small incision anderson-hynes，25 patients were with ureteropelvic junction，3 cases were with ureteropelvic high connection，1 case was with article fiber cable oppression.The operation time was 60-125 min，average （88.2±19.6）min，the intraoperative blood loss was 1-3 ml，average （2.2±0.8）ml，the postoperative removal of drainage tube time was （2.1±0.6）d，the average hospital stay was （5.8±2.1）d.29 cases of surgical patients were followed up for 6 months to 5 years.All the patients were followed up by B